Healthcare Provider Details

I. General information

NPI: 1760223804
Provider Name (Legal Business Name): INNER ALCHEMY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 S LINCOLN ST STE 6
LITTLETON CO
80122-2704
US

IV. Provider business mailing address

10868 GREYCLIFFE WAY
HIGHLANDS RANCH CO
80126-5755
US

V. Phone/Fax

Practice location:
  • Phone: 404-323-4487
  • Fax:
Mailing address:
  • Phone: 404-323-4487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY BEITH
Title or Position: OWNER
Credential: MA, LPCC
Phone: 404-323-4487